DST (Suture Technique) Asian Double Eyelid Surgery - Natural?

The suture technique results in very natural looking double eyelid creases. Even with the eyelids closed . The extremely fine sutures provide a gentle compression of the eyelid structures to form a crease from within that is not generally visible unless the eyes are open. Although the suture technique has limitations, for the right candidate it produces extremely natural result with a short recovery time.

The Double sutures with twisting is an excellent technique for the correct candidate. It requires both eyes to have good function of the eyelid - opening muscle (levator muscle). It does not allow for making the two eyes more symmetric if you have minor differences, and it should not be used if you have any ptosis.

This is a subset of sutures based surgeries which is supposed to have more longevity than other types of suture based surgeries. It was described by Drs. Minami and Kure, plastic surgeons in Japan.

DST can be very natural.  The real issue is longevity, lash ptosis, and lack of customization of how the upper eyelid fold lays on the eyelid platform.  For these reasons, I don't perform DST.  DST is really a method for non-surgeons.  If you have true eyelid expertise, the open method provides a superior method for definitively dealing the eyelid.  However, it requires training, skill, experience, and yes more costly resources than threading a suture.  For this reason DST is very popular in Asian countries.